高血压左室肥厚逆转前后QT离散度的改变

QT Dispersion during the Reversal of Hypertensive Left Ventricular Hypertrophy

  • 摘要: 目的观察高血压左室肥厚(LVH)逆转前后QT离散度的变化,评价各种QT离散度的测定方法。方法用不同方法分别测量27名非LVH和32名LVH患者的QTD,对LVH组行6个月的降压治疗后再行复查各项指标。结果LVH组的QTac,QTc离散度(QTacD,QTcD),QTa和QT的标准差(QTaSD,QTSD)均与左室心肌质量指数(LVMI)相关地显著增加。降压治疗后又都降低。结论持续的降压治疗能逆转LVH并改善QTD。QTaSD及QTacD是更好的观察指标

     

    Abstract: Aim\ To observe changes in QT dispersion(QTD) during the reverse of hypertensive left ventricular hypertrophy(LVH) and to evaluate various methods of QTD measuerment.\ Methods\ With various methods QT dispersions of 27 nonLVH and 32 LVH men were measured respectively.After 6month antihypertensive treatment. The QT dispersion was examined and compared with that in baseline.\ Results\ QTac and QTc dispersion(QTacD,QTcD),QTa and QT standard deviation(QTaSD, QTSD) all increased significantly in correlation with left ventricular mass index(LVMI) in LVH group, and decreased after treatment.\ Conclusion\ Persistent antihypertensive therapy could both improve LVH and QTD.\ QTaSD and QTacD are presumed to be more reliable indexes.

     

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